Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $45.77 / $293.18	Professional		$32.54	$45.77	$293.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $54.54	Facility		$54.54	$54.54	$54.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $54.54	Professional		$39.81	$39.81	$54.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $161.22 / $210.27	Professional		$53.35	$161.22	$210.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.97 / $77.95	Facility		$45.71	$64.97	$77.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $71.64 / $80.02	Professional		$56.67	$71.64	$80.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $76.20 / $91.93	Facility		$60.50	$76.20	$91.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $76.20 / $91.93	Professional		$68.59	$76.20	$91.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $66.73 / $80.02	Facility		$45.71	$66.73	$80.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.73 / $83.83	Professional		$39.81	$66.73	$83.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.49 / $126.74 / $267.36	Facility		$63.49	$126.74	$267.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $83.83 / $83.83	Professional		$65.54	$83.83	$83.83
United Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $38.02 / $72.88	Professional		$35.79	$38.02	$72.88